- Acute Suppurative Otitis Media

7/23/2019 - Acute Suppurative Otitis Media

1/11

Acute Suppurative Otitis Media

First School of Clinical Sciences Dept. of OtorhinolaryngologyFirst School of Clinical Sciences Dept. of Otorhinolaryngology


2/11

Definition :

Acute Suppurative Otitis Media is middle ear mucosal acute

suppurative inflammation .

Its pathological changes in tympanic cavity, children is most

common The invasion usually come from upper respiratoryinfection.

pathogenic bacteria cause by pneumococcus

Hemophilus influenza

beta streptococcus staphylococci

IntroductionIntroduction


3/11

Route of infection

. Route of eustachian tube

most common

!acute upper respiratory infection, acute infectious disease

!swimming or divingin uncleanness water incorrect eustachiantube inflation treatment of nasal cavity

! incorrect position for infant feeding

". route of acoustic duct, tympanic membrane

injury of tympanic membrane puncture for tympanic membrane insertpipe for tympanic membrane

#. Route of hematogenous infection: extremely scarce


4/11

middle ear mucosa hyperemia

$$mucosa of tympanic cavity thic%ening&

!"#$%&

!"#$%&

cilia ablate ;

oblet cell increased

!ardrum "ompression, anaemiathrombophlebitis

#.inflammation e$tinction

%.&ucosa of tympanic cavity

Recovery normalperforation of ear drumli'uor puris effluent

'()*+,

()*+, perforation be

repaired naturally

-.+/.+/

surgical repair

Chronic Suppurative Otitis Media

Inflammatory e$udate in tympanic

cavitychange purulence

"orrect treatment

Incorrect treatment

Inflammation e$tinction

blood plasma and other formed elements effusion

(athology


5/11

Clinical manifestation

1.general symptoms patient have chilly fever lassitude bad

appetite the symptomsare more heavy for children some patients have

vomitting and diarrhea.

The general symptoms relieve obviouslyas soon as perforation appear in

ear drum

2. local symptoms

1 earache:deep pain Throbbing pain and pricking pain

radiating

painwith homolateral head or tooth

children often cry deep in the night painrelieve obviouslyas soon as

perforation of ear drum.

2 hearing defect tinnitus vertigo deafness palliate afterperforation of ear drum

3 otorrhea The fluid like blood at first and then change to

mucopurulent discharge fluid.


6/11

#. '(aminations )toscopy "ongestion in tympanic flaccid part the

congestion is diffuse also can see distend perforation in

eardrum *ural region palpation &astoidtenderness

Hearing e$amination air conduction hearing loss

Hemogram White blood(cell)count +"

polymorphonuclear leucocytes increase

hemogram

recovery normal gradually after perforation in eardrum


7/11

!ardrum image of acute purulent otitis media before perforation

"ongestion in tympanic flaccid part the

congestion is diffuse also can see

distend perforation in eardrum


8/11

!ardrum image of acute purulent otitis media after perforation


9/11

Treatment

)reatmentprinciples:control infection *drainage smoothand removal etiologicalfactors

general treatments

Antibiotics )he treatment re'uest early as soon as possibleand full

dosage

(enicillinsand cephalosporins are the commonly used antibiotics .

The sensitive antibiotics should be used afterperforation of ear drum according to

bacterial culture and susceptibility test.

" 'phedrin could be used in nasal cavity

# Maintenance therapy supply lucose and so on


10/11

" +ocal treatment

# % phenol glycerite could be used in acoustic duct and eardrum

before perforation of ear drum.

&yringotomy -hen tympanic cavity has a lot of purulent secretion.

% hydrogen pero$ide /.01 terivid could be used in acoustic

duct and eardrum after perforation of ear drum.

Tympanic membrane repairing could be used after perforation of ear drum

# 'tilogical treatment

The diseases must be active treatment in nose pharyngeal portion

such as adenoid hypertrophy chronic sinusitis chronic tonsillitis and so

on .


11/11

Thanks!

Documents

- Acute Suppurative Otitis Media